Black Belt Grading Application

I would like to apply for the following event

I would like to apply for the following promotion

Student’s Title

Student’s Name

Address (including postcode)

Date of Birth (DD/MM/YYYY)

Mobile Phone Number (Parent/Guardian for Under 18’s)

Email Address (Parent/Guardian for Under 18’s)

Supplementary Documents

All students must submit a recently taken passport style photo via email to admin@newmanmartialarts.com. This photo must have a plain background and be sent as an image file, not Word Document or PDF etc.

Passport Photo(required)

I confirm I have emailed across a recently taken passport style photo

Please submit as an attached Word Document and ensure you include the title along with your name, grade, Club and Instructor

Essay(required)

I confirm I have emailed across my essay I am a Star Grader, this doesn't apply to me

If your licence expires before the Black Belt Grading we will text you asking you to renew it before you apply to grade; this is to comply with requests from South West Administration.

Licence(required)

I confirm that I have renewed my licence if it expires before the Black Belt Grading

Black Belt Book(required)

I have checked that my Black Belt Book is up-to-date and will ensure I bring it to the Pre-Grading if attempting a Dan promotion or Star Grading if attempting a Star promotion I am a 1st Kup, this doesn't apply to me

Grading Fee

This must be paid for via Bank Transfer to the same account as training fees with the student’s name in the description

If attempting 1st Dan: £175
1st – 3rd Star: £30
2nd Dan: £175 *
3rd Dan: £185 *
4th Dan: £215
5th Dan: £245

Grading Fee(required)

I confirm I have paid the relevant Grading Fee as listed above

* If you are applying for a Dan Promotion (e.g. 2nd Dan) and have completed one or more Star Gradings since your last Dan Promotion we can apply for a deduction to your grading cost of £25 per Star Grading. Please select from the list below and pay the fee listed above as normal. We will then refund you the deducted amount once the application has been accepted.

Deduction Application(required)

No Star Gradings (£0) 1 Star Grading (£25) 2 Star Gradings (£50) 3 Star Gradings (£75)

Declaration

Eligibility Check(required)

I confirm that I have read and understood the relevant Black Belt Grading Requirements Document at the top of this page and have checked that myself/my child meet all the criteria for this promotion.

Student Details

Supplementary Documents

Grading Fee

Declaration

Share this: